|
Ghs febrile agglutinns(mayo)
|
$175.68 |
$175.68 |
$175.68 |
$48.10
|
|
Ghs fish cytogen
|
$200.16 |
$200.16 |
$200.16 |
$175.00
|
|
Ghs fish hybrid in situ 100-300
|
$200.16 |
$200.16 |
$200.16 |
$226.20
|
|
Ghs flow volume loop
|
$610.56 |
$610.56 |
$610.56 |
$308.69
|
|
Ghs gastric intub aspiration lavage
|
$672.48 |
$672.48 |
$672.48 |
$368.50
|
|
Ghs hcv amplificaiton
|
$379.44 |
$379.44 |
$379.44 |
$201.06
|
|
Ghs histoplasma antigen
|
$150.48 |
$150.48 |
$150.48 |
$141.60
|
|
Ghs HIV antibody
|
$148.32 |
$148.32 |
$148.32 |
$90.14
|
|
Ghs i and d abscess/hematoma scrotum
|
$7,995.60 |
$7,995.60 |
$7,995.60 |
$3,245.90
|
|
Ghs i and d perirectal abscess 46040
|
$5,886.00 |
$5,886.00 |
$5,886.00 |
$2,631.20
|
|
Ghs i and d pilonidal cyst complex
|
$1,672.56 |
$1,672.56 |
$1,672.56 |
$1,402.80
|
|
Ghs i and d pilonidal cyst simple
|
$1,321.20 |
$1,321.20 |
$1,321.20 |
$683.80
|
|
Ghs incision thrombosed ext hemorrhoid
|
$884.88 |
$884.88 |
$884.88 |
$526.50
|
|
Ghs inf midline insertion
|
$2,026.80 |
$2,026.80 |
$2,026.80 |
$1,241.85
|
|
Ghs inhibitor screen
|
$353.52 |
$353.52 |
$353.52 |
$191.88
|
|
Ghs init tx 1st degree burn
|
$1,006.56 |
$1,006.56 |
$1,006.56 |
$275.50
|
|
Ghs inj neurolytic other perph nerve
|
$6,236.64 |
$6,236.64 |
$6,236.64 |
$1,710.80
|
|
Ghs inj tendon origin/insertion
|
$995.04 |
$995.04 |
$995.04 |
$431.07
|
|
Ghs inj transforaminal cerv ea add bil
|
$2,801.52 |
$2,801.52 |
$2,801.52 |
$1,118.00
|
|
Ghs inj transforaminal cerv single bil
|
$4,325.76 |
$4,325.76 |
$4,325.76 |
$1,814.80
|
|
Ghs insertion of needle - bone
|
$749.52 |
$749.52 |
$749.52 |
$415.20
|
|
Ghs intermed repair 12.6 - 20.0 cm-12035
|
$863.28 |
$863.28 |
$863.28 |
$876.00
|
|
Ghs intro needle/intracath vein - 36000
|
$322.56 |
$322.56 |
$322.56 |
$213.75
|
|
Ghs irrigate corpora cavernosa for priapism
|
$1,008.72 |
$1,008.72 |
$1,008.72 |
$551.20
|
|
Ghs IV infusion bamlanivimab/etesevimab
|
$973.44 |
$973.44 |
$973.44 |
$553.80
|
|
Ghs IV infusion casirivimab/imdevimab
|
$973.44 |
$973.44 |
$973.44 |
$569.40
|
|
Ghs IV thrombolytics - cerebral
|
$817.20 |
$817.20 |
$817.20 |
$669.44
|
|
Ghs lac repair mouth.ant tong 2.5cm/less
|
$861.84 |
$861.84 |
$861.84 |
$505.45
|
|
Ghs layer closure 2.5 cm or less - 12031
|
$910.08 |
$910.08 |
$910.08 |
$602.00
|
|
Ghs layer closure 2.5 cm or less - 12041
|
$863.28 |
$863.28 |
$863.28 |
$576.19
|
|
Ghs layer closure 2.5cm or less - 12051
|
$863.28 |
$863.28 |
$863.28 |
$606.60
|
|
Ghs layer closure 2.6 - 5.0 cm - 12052
|
$750.24 |
$750.24 |
$750.24 |
$675.00
|
|
Ghs layer closure 2.6 - 7.5 cm - 12042
|
$750.24 |
$750.24 |
$750.24 |
$703.20
|
|
Ghs layer closure 5.1 - 7.5 cm - 12053
|
$863.28 |
$863.28 |
$863.28 |
$737.55
|
|
Ghs layer closure 7.6 - 12.5 cm - 12034
|
$863.28 |
$863.28 |
$863.28 |
$779.35
|
|
Ghs layer closure 7.6 - 12.5 cm - 12044
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$741.00
|
|
Ghs layer closure 7.6 - 12.5 cm - 12054
|
$863.28 |
$863.28 |
$863.28 |
$737.55
|
|
Ghs layered repair 12.6 - 20.0 cm -12055
|
$923.04 |
$923.04 |
$923.04 |
$782.46
|
|
Ghs mbp
|
$128.16 |
$128.16 |
$128.16 |
$77.35
|
|
Ghs moderate sedation, > 5 yr, 30 min, other
|
$617.76 |
$617.76 |
$617.76 |
$242.31
|
|
Ghs moderate sedation ea addtl 15 min
|
$264.96 |
$264.96 |
$264.96 |
$151.20
|
|
Ghs moderate sedation ea addtl 15 min, other
|
$305.28 |
$305.28 |
$305.28 |
$142.40
|
|
Ghs musc test done w/n test comp
|
$282.24 |
$282.24 |
$282.24 |
$322.80
|
|
Ghs musc tst done w/nerv tst lim
|
$142.56 |
$142.56 |
$142.56 |
$266.59
|
|
Ghs musc tst done w/n tst non ext
|
$75.60 |
$75.60 |
$75.60 |
$184.80
|
|
Ghs myocardial strain img spckl track
|
$161.28 |
$161.28 |
$161.28 |
$457.80
|
|
Ghs nailbed repair/nail removal
|
$1,321.92 |
$1,321.92 |
$1,321.92 |
$724.37
|
|
Ghs nerve blk intercostal, ea addtl level
|
$1,923.12 |
$1,923.12 |
$1,923.12 |
$1,549.80
|
|
Ghs nerve blk intercostal, single level
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,109.38
|
|
Ghs nerve block axillary nerve
|
$1,974.96 |
$1,974.96 |
$1,974.96 |
$1,541.40
|
|
Ghs nerve block brachial plexus
|
$1,923.12 |
$1,923.12 |
$1,923.12 |
$1,710.80
|
|
Ghs nerve block celiac plexus
|
$1,967.76 |
$1,967.76 |
$1,967.76 |
$1,556.40
|
|
Ghs nerve block interscaline
|
$1,923.12 |
$1,923.12 |
$1,923.12 |
$1,526.09
|
|
Ghs nerve block lumbar or thoracic symp
|
$2,036.88 |
$2,036.88 |
$2,036.88 |
$1,707.09
|
|
Ghs nerve block sciatic nerve
|
$1,782.72 |
$1,782.72 |
$1,782.72 |
$1,450.80
|
|
Ghs nerve block suprascapular
|
$1,496.16 |
$1,496.16 |
$1,496.16 |
$1,173.60
|
|
Ghs ng placement w fluoro guidance
|
$861.84 |
$861.84 |
$861.84 |
$485.00
|
|
Ghs o2 saturation
|
$89.28 |
$89.28 |
$89.28 |
$72.45
|
|
Ghs o2 uptake rest & exercise
|
$337.68 |
$337.68 |
$337.68 |
$230.01
|
|
Ghs opcc repair cvp without subq port
|
$2,633.76 |
$2,633.76 |
$2,633.76 |
$1,229.24
|
|
Ghs optokenetic
|
$337.68 |
$337.68 |
$337.68 |
$203.50
|
|
Ghs oscillating trac
|
$672.48 |
$672.48 |
$672.48 |
$325.00
|
|
Ghs osteopathic manipulative tx, 1-2 regions
|
$62.64 |
$62.64 |
$62.64 |
$57.60
|
|
Ghs ot prosthetic training/15 min
|
$262.80 |
$262.80 |
$262.80 |
$90.75
|
|
Ghs ot sensory integrative tech/15min
|
$303.84 |
$303.84 |
$303.84 |
$96.00
|
|
Ghs paravert facet/nerve cerv ea add bil
|
$1,080.72 |
$1,080.72 |
$1,080.72 |
$855.60
|
|
Ghs paravert facet/nerve lumb ea add bil
|
$1,311.12 |
$1,311.12 |
$1,311.12 |
$962.00
|
|
Ghs peritonsillar abscess i andd
|
$645.84 |
$645.84 |
$645.84 |
$544.44
|
|
Ghs phenylketonurid
|
$154.80 |
$154.80 |
$154.80 |
$53.76
|
|
Ghs picc line insert < 5
|
$3,355.20 |
$3,355.20 |
$3,355.20 |
$2,019.50
|
|
Ghs plngl fx pm cl
|
$886.32 |
$886.32 |
$886.32 |
$580.32
|
|
Ghs polysom <6 yrs 4/> parameters
|
$3,952.08 |
$3,952.08 |
$3,952.08 |
$3,557.58
|
|
Ghs prostatic acid phosphatase (mayo)
|
$94.32 |
$94.32 |
$94.32 |
$43.55
|
|
Ghs protoporphyrins fract
|
$51.12 |
$51.12 |
$51.12 |
$64.28
|
|
Ghs pr without cont pulse ox
|
$128.16 |
$128.16 |
$128.16 |
$147.95
|
|
Ghs quinidine
|
$142.56 |
$142.56 |
$142.56 |
$85.00
|
|
Ghs refill of implantable pump
|
$1,440.72 |
$1,440.72 |
$1,440.72 |
$550.00
|
|
Ghs removal intranasal foreign body
|
$278.64 |
$278.64 |
$278.64 |
$294.00
|
|
Ghs repair extensor tendon hand, ea tendon
|
$3,456.72 |
$3,456.72 |
$3,456.72 |
$2,211.05
|
|
Ghs repair tendon ext forearm/wrist ea
|
$7,008.48 |
$7,008.48 |
$7,008.48 |
$4,108.00
|
|
Ghs respiratory syncytical virus igg/m
|
$107.28 |
$107.28 |
$107.28 |
$73.50
|
|
Ghs rsv eia (respir synctial vrs)
|
$307.44 |
$307.44 |
$307.44 |
$99.00
|
|
Ghs semen analysis fert
|
$552.24 |
$552.24 |
$552.24 |
$129.00
|
|
Ghs sensitivity (per antimicro)
|
$259.92 |
$259.92 |
$259.92 |
$58.95
|
|
Ghs simple repair 12.6 - 20.0 cm - 12005
|
$863.28 |
$863.28 |
$863.28 |
$558.97
|
|
Ghs simple repair 12.6 - 20.0 cm - 12016
|
$863.28 |
$863.28 |
$863.28 |
$607.35
|
|
Ghs simple repair 20.1 - 30.0 cm - 12006
|
$863.28 |
$863.28 |
$863.28 |
$575.00
|
|
Ghs simple repair 20.1 - 30.0 cm - 12017
|
$871.92 |
$871.92 |
$871.92 |
$607.35
|
|
Ghs simple repair 5.1 - 7.5 cm - 12014
|
$663.84 |
$663.84 |
$663.84 |
$451.50
|
|
Ghs simple repair 7.6 - 12.5 cm - 12004
|
$614.88 |
$614.88 |
$614.88 |
$436.80
|
|
Ghs simple repair 7.6 - 12.5 cm - 12015
|
$647.28 |
$647.28 |
$647.28 |
$492.80
|
|
Ghs simple repair over 30 cm - 12007
|
$1,438.56 |
$1,438.56 |
$1,438.56 |
$589.80
|
|
Ghs sleep study unattended
|
$682.56 |
$682.56 |
$682.56 |
$503.38
|
|
Ghs somatosensory testing lower extremit
|
$1,433.52 |
$1,433.52 |
$1,433.52 |
$925.91
|
|
Ghs somatosensory testing upper & lower limbs
|
$1,231.20 |
$1,231.20 |
$1,231.20 |
$1,390.20
|
|
Ghs speech-gen aug dev eval iii, st
|
$99.36 |
$99.36 |
$99.36 |
$153.00
|
|
Ghs sphenopalatine ganglion block
|
$637.92 |
$637.92 |
$637.92 |
$628.16
|
|
Ghs spont nystagmus
|
$308.16 |
$308.16 |
$308.16 |
$241.80
|
|
Ghs sp train/fitting sp device - kx
|
$211.68 |
$211.68 |
$211.68 |
$243.60
|
|
Ghs st - eval for alt comm
|
$84.96 |
$84.96 |
$84.96 |
$93.60
|
